NPI 1093707556

Michael Dennis Erickson, OD

Practitioner Optometrist Issaquah, WA

Practice location

Address: 4538 Klahanie Dr SE, Issaquah, WA 98029
Phone: (425) 392-9982
Fax: (815) 301-5473

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00003260 (WA)

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Registry record

NPI: 1093707556
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2005
Record last updated: 17 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.